JACQUELINE CANNONE


Address: 2503 Ridge Runner Rd, Las Vegas, NM 87701
Phone: 5054548265

JACQUELINE CANNONE (NPI# 1194149724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194149724
Entity Type Individual
Full Name JACQUELINE CANNONE
Credential BMS
Practice Address 2503 Ridge Runner Rd
Las Vegas
NM 87701
Mailing Address 2551 Coors Blvd Nw
Albuquerque
NM 87120-1213
Practice Telephone 5054548265
Enumeration Date 2014-02-18
Last Update Date 2018-07-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 2503 RIDGE RUNNER RD
City LAS VEGAS
State NM
Zip Code 87701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528106770 Denise A Medina Counselor 2503 Ridge Runner Rd, Las Vegas, NM 87701 2007-02-01
1619474400 Camille Sarah Apodaca Community Health Worker 2503 Ridge Runner Rd, Las Vegas, NM 87701-4972 2018-04-09
1285139709 Roxanne Garcia Community Health Worker 2503 Ridge Runner Rd, Las Vegas, NM 87701 2018-03-27
1699229393 Isabel Cavazos Social Worker 2503 Ridge Runner Rd, Las Vegas, NM 87701-4972 2016-08-10
1679957096 Lydia Tarango Counselor 2503 Ridge Runner Rd, Las Vegas, NM 87701-4972 2015-07-15
1912381336 Alyassea Vigil Counselor 2503 Ridge Runner Rd, Las Vegas, NM 87701-4972 2015-07-15
1295119030 Robyn Wood Millard Counselor 2503 Ridge Runner Rd, Las Vegas, NM 87701-4972 2015-07-10
1902287626 Richard Mietz Counselor 2503 Ridge Runner Rd, Las Vegas, NM 87701-4972 2015-06-18
1306224910 Jacquelin Barajas Counselor 2503 Ridge Runner Rd, Las Vegas, NM 87701-4972 2015-05-14
1013395714 Serafin Lopez Counselor 2503 Ridge Runner Rd, Las Vegas, NM 87701-4972 2015-05-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851884423 Nueva Vida Counseling and Consulting Services LLC Community/Behavioral Health Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 2018-06-08
1316475403 El Centro Family Health Family Medicine 475 Legion Dr., Las Vegas, NM 87701 2017-06-01
1700327384 Anastacia Sena Jaramillo Psychologist 126 Silva Ave., Las Vegas, NM 87701 2017-03-15
1013369222 Home Medical Equipment Specialists,llc Durable Medical Equipment & Medical Supplies 514 8th Street, Las Vegas, NM 87701 2016-07-12
1750730826 John Michael Tourangeau Social Worker 1920 7th Street, Las Vegas, NM 87701 2016-06-08
1154705689 Lindsy Laura Kragt Allen Podiatrist 1608 7th St, Las Vegas, NM 87701 2015-07-14
1023409521 Ambercare Medical Supply Durable Medical Equipment & Medical Supplies 1747 N Grand Ave, Las Vegas, NM 87701 2015-02-05
1538561964 El Centro Family Health Clinic/Center 947 Old National Road, Las Vegas, NM 87701 2014-09-17
1164832150 Plaza Drugs Pharmacist 178 Bridge St, Las Vegas, NM 87701 2014-04-30
1043648165 Open Doors Home Health Care Home Health 713 Railroad Ave., Las Vegas, NM 87701 2013-10-29
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396350773 Guiselle Maria Alvarez-delarosa Case Manager/Care Coordinator 5547 Leaning Oak Ave, Las Vegas, NV 89118-2080 2020-09-11
1477163467 Chanel M. King Case Manager/Care Coordinator 150 Las Vegas Blvd N Unit 2014, Las Vegas, NV 89101-2951 2020-08-04
1912517251 Jeffrey Hoge Case Manager/Care Coordinator 6644 Beacon Rd, Las Vegas, NV 89108-5390 2020-08-02
1992331698 Angela E Oesterle Case Manager/Care Coordinator 8118 Crushed Velvet Pl, Las Vegas, NV 89166-3794 2020-03-13
1336774330 Taizha Howard Case Manager/Care Coordinator 1500 E Tropicana Ave Ste 244, Las Vegas, NV 89119-8325 2020-03-10
1043858863 Stephanie Marie Sifuentes-smith Case Manager/Care Coordinator 2566 Sherwood St Apt 21, Las Vegas, NV 89109-1303 2019-12-11
1932741022 Deidre Fawn Cleaver Case Manager/Care Coordinator 2893 Klinger Cir Apt 2, Las Vegas, NV 89121-1023 2019-10-10
1861033730 Militza Mares Mikovich Case Manager/Care Coordinator 820 S 7th Street Ste A, Las Vegas, NV 89101 2019-10-02
1770132797 Anna Rose Andrews Case Manager/Care Coordinator 3436 Wasatch Cedars St, Las Vegas, NV 89122-3574 2019-09-11
1952954018 Denise Ratliff Case Manager/Care Coordinator 4937 Dunkirk Ave, Las Vegas, NV 89121-7042 2019-07-18
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Competitor

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City LAS VEGAS
Zip Code 87701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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